Individual provider Active NPI

Alford Nathaniel Vassall Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Port Angeles, WA
National Provider Identifier
1578678579
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60062958 Issued in WA
Practice address
939 Caroline St Ste a
Port Angeles, WA 98362-3909
Phone
(360) 655-0999
Fax
(360) 452-7303
NPI assigned
Aug 20, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60062958 WA Primary
Obstetrics Physician 207VX0000X 83-330 NM

Addresses

Primary practice location

939 Caroline St Ste a
Port Angeles, WA 98362-3909

Mailing address

939 Caroline St Ste a
Port Angeles, WA 98362-3909
Phone (360) 565-0999

Other practice location 1

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83-330NMMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jun 7, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 7, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Obstetrics & Gynecology CurrentSince May 28, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince May 28, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Clallam County Public Hospital District 2 PastSince Aug 18, 2020 Accepting new patients

Locations

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

2300 Kati Ct
Ste A
Shelton, WA 98584
Phone (360) 426-0955

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Interoperability endpoints

  • Direct secure messaging: alford.vassall.1@6965.direct.athenahealth.com
  • Direct secure messaging: avassall549101@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nba8514@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1578678579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623909",
            "telephone_number": "360-565-0999",
            "fax_number": "360-452-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623909",
            "telephone_number": "360-655-0999",
            "fax_number": "360-452-7303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-788-6360",
            "fax_number": "360-788-6376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASSALL",
        "first_name": "ALFORD",
        "middle_name": "NATHANIEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60062958",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NM",
            "license": "83-330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.